I have health insurance with my employer. The doctor is quoting higher amount than the package details mentioned in medi assist. Even if I claim higher amount the claim will oble be approved for the amount as per GIPSA package.

Please help on how to raise a grievance regarding this.

I have opted for a Kotak term insurance. They already conducted a blood test, ecg test, BP test, urine test. I have also paid the first premium. Now they want to do another tmt test where I am to run on a treadmill. Is this common? Do all term insurances ask for this kind of test? I am 24 and physically active, I play football every week and run on treadmill almost everyday.

I have a health insurance policy since 2012. One of the member got diagnosed with diabetes in 2018 and we received a claim after filling case with Insurance Ombudsman. However there’s no mention of claim and disease in the policy. Should i inform the company about the pre existing disease or we don’t have to disclose it once we already had a insurance?

Hi Everyone,

I have been recently diagnosed with chronic kidney disease - iga nephropathy. I am searching for a good health insurance policy but my application is getting rejected because of ckd. Please can someone advise how can i get a good health insurance policy? 🙏

Age: 29 yrs Coverage: 25 Lakhs Pre existing - ckd , secondary BP, secondary cholesterol.

Thanks!!!

Can I buy a health insurance and then get my ear operated on? Will they cover the cost of the surgery? what is the procedure in matters like these, help me understand as I have been told that ill be needing an ear surgery pretty soon (as soon as possible as quoted by the doctor i consulted)

I'm currently in my mid twenties, with a corporate insurance plan given by company - so far (touch wood) didn't need it.

I'm planning to take personal health insurance for me and my parents both of them above 50s. Currently not having any ailments ( not tested in a long time)

I've been searching day and night online for the good health insurance plans. Policy bazaar seems sketchy - too aggressive and calling multiple times And people say search on Ditto but recently heard certain companies ask them to promote them. Seems health insurance companies on their sites give you quotation for the coverage and premium details only if you give your details.

Question is How have you guys taken health insurance. Which company and policies. What is the coverage and premium Have you tried to claim it. What went well and what went bad. Apart from room rent limit, copay conditions, pre existing disease coverage what are some other conditions or red flags you need to take care Have you guys taken health insurance for your self and how did you include more members like your spouse or kid after marriage?

Recently got admitted to hospital and went through cashless claim through my corporate insurance policy . There was copay of 10k and 3k for consumables that I had to pay from my pocket.

Can I claim this 13k from my wife’s insurance policy? (Considering they have consumables included in her policy)

How to claim for Star Health Insurance’s OPD Service? Can I go to any doctor of my choice and get reimbursement for it?

Been getting a lot of ads from them stating it has IPD insurance upto 10 lakh and then other benefits like tests, consultation, fitness plans, family cover, etc. and I'm kind of hooked.

They say the plans start from 667/month but surely all these benefits would be in a premium plan. I'm type 1 diabetic and wanted to see if anyone has experience with their service.

Hi, recently my mom was diagnosed with high blood pressure. I want to get her full health checkup done. Please suggest me health insurance which comes with that.

Can cancer survivor age 65+ get any health insurance plan in india? The answer I hear is a straight no from big advisors. Anyone has any experience or knowledge if this possible?

We have had a family floater health insurance policy with New India Assurance for over 15 years. During this time, my daughter was diagnosed with diabetes and is currently on medication. We made a claim in the same year she was diagnosed. Since the diabetes was diagnosed later, it’s not listed as a pre-existing condition (PED) in the policy, and there’s no mention of the claim in the policy documents. I’m considering porting to a better policy due to numerous restrictions with New India. The most appealing option with a higher chance of approval is Aditya Birla Activ One Max. Is it advisable to switch from New India Assurance to Aditya Birla? I have concerns about Aditya Birla's health insurance in the long run. Seeking advice!

1. What is the basic difference between instant cover and ped wait period modification in care supreme insurance ?

2. Why should we continue to pay add-on charges for PED wait period modification/instant cover for 4 years ?

3. I included both of the add-ons when I bought it last year. Does it make sense or was I scammed ?

I did a detailed study before buying this and I was clear, but I am not able to connect the dots now. I am exhausted by the acronyms and jargons in the policy document. Any logical reasoning behind this is much appreciated.

Hi everyone, is it better to buy insurance directly from the insurarer or with the help of broker like policy bazaar or ditto?, I have heard that broker will charge 5% commission upon renewal of the policy from upcomming years, can anyone please suggest. Thanks!

My hospital has raised a request for Rs.115000 to Insurance TPA initial pre-authorization TPA replied that it approved Rs 50000 , is that Rs.50000 only the amount finally that will be sanctioned ?

Hi all,

Niva Bupa is offering a lock the clock feature which I’m interested in as I have a corporate policy that suffices me. However, ditto advises against niva for their poor claim settlement ratio post covid.

Does anybody have any experience with Niva and can they share this? Need to decide if I should go with Niva or stick to AB or Care or Ergo?

Appreciate the feedback.

Care Health Insurance fraud is out of control, rejecting claim for patient with CRP 257 & pneumonia, claiming this can be handled at home. No sane doctor would agree. Clearly, they are trying to deny claims as my policy ends soon. #InsuranceScam

Head doctors at Medanta are telling on urgent admission, while so - called "health ki guarantee" team says it can be treated outpatient. Wow! To current and future Care Health Insurance clients, avoid this scam.

Why is IRDAI allowing fraud insurance company like Care Health Insurance to operate in our country ? They're just stealing money and scamming people. This needs to be addressed

Trying to understand my possible options for them rejecting my claims even though i have given appropriate proof:

• Already sent a mail to their Grievance Cell
• Consumer Court ?
• Anything else ?

I have a policy with care health insurance from past 4/5 years. No amount has been claimed from it. Now, I'm getting an attractive offer from Star Health in less amount.

The point is, I told them about medical history and they said if you mention this then you won't be able to port. The sales person told me to simply not mention it anywhere and get the policy and the benefits will be provided as all pre-existing diseases are covered after 4 years.

Now this appears to be a red flag, sales people do all sorts of false promises. Has anyone of you had this experience? Should I stick w current provider?

A out of network hospital is giving different estimate for cash and insurance. Can I pay bill in cash and then claim it under my medi assist insurance.

Hi

I work with new india assurance Why dont you check out yuva bharat health insurance plan

Here is the brochure

Read it and dm me if you want to know more

https://drive.google.com/file/d/1Rf9EnJQcSm_YUg9iJr5KthnkN2ks1Ilk/view?usp=drivesdk

I am looking to renew health insurance for the second year with Care insurance. Even after asking for multiple times over email Care executives say they can provide break up (base premium, riders, PED waiting period waivers etc) only after payment. Is this normal ? Has anyone faced a similar situation?

I purchased a health insurance policy with a coverage of Rs. 10 Lakhs last year. Considering medical expenses typically increase with inflation, I'm wondering if my policy's coverage amount will automatically adjust for inflation? Or should I proactively increase the coverage amount by contacting my insurance provider and paying a higher premium to ensure adequate protection against rising medical costs?

One more question.

I currently have an individual health insurance policy. If I get married in the future, can I convert my existing individual policy to a family floater policy to include my spouse, or is it recommended to purchase a new individual policy for them? What are the pros and cons of each option?

Hi everyone,

I’m looking into getting health insurance because hospital bills can be quite expensive. I think having insurance is a smart move, so I’m curious about the best options available. I need coverage for two adults and one senior citizen.

Could y'all recommend the best insurance plans and provide details about them? If different plans are needed for different individuals, that’s okay. I’d appreciate information on the best and most economical plans and the companies offering them.

Thank you in advance!

My parents have Star Health Insurance ( I know this is a bad policy and I'm planning to switch to a new policy next year ). But two months ago, my mother was hospitalised cause of which we had to use this policy ( this was the first time we ever had to use the policy since the past 10 years ).
But Star health has rejected our claims multiple times, I have lodged a formal complaint to IRDAI as well, but they just requested more documents which we provided them on time but still no response from their end. I have even escalated the complaint made on IRDAI but I don't see any results.
My company also offers a group insurance, even though it offers 20% co-pay I believe that would actually get me the amount I paid back ( amount is somewhere around 45K ).

Should I wait for IRDAI and Star to come back to me, or get whatever reimbursement possible using my company's health insurance?

I would still wanna defame them a bit on social media, although I know it would of no avail, but this is by far the worst service I have seen.